Individual
LUANNE G BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
95 E LIPOA ST, #105, KIHEI, HI 96753-8194
(808) 874-5333
Mailing address
95 E LIPOA ST, #105, KIHEI, HI 96753-8194
(808) 874-5333
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11839
HI
Other
Enumeration date
06/10/2011
Last updated
08/02/2011
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